Fillable Development Permit Application (The Town of Nags Head)

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Development Permit Application (The Town of Nags Head)

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The Development Permit Application (The Town of Nags Head) form is 2 pages long and contains:

  • 2 signatures
  • 64 check-boxes
  • 109 other fields

Country of origin: US
File type: PDF

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Town of Nags Head
Development Permit Application
Submittal Date:______________
Project Site Information
Street Address:
Subdivision:
PIN #:
Rental Property Primary Residence
Second Home Other
Parcel #:
Property Owner Information
Applicant Information
Name:
Name:
Mailing Address:
Mailing Address:
Phone:
Phone:
Email:
Email:
Type of Development (Check All That Apply)
Classification
of Work:
New Construction Addition Remodel Demolition Repair Relocation
Accessory Structure
Residential:
Single-Family Shed/Garage Swimming Pool/Hot Tub Elevator Deck
Pergola/Cabana Ground Level Enclosure Other:_____________________
Commercial:
Assembly Business Multi-Family Motel/Hotel Educational
Factory/Industrial Institutional Hazardous Mercantile Storage
Utility/Miscellaneous Other:______________________________
Other:
Excavation Fill Grading Erosion Control Measures Driveway Septic
Irrigation Pier/Bulkhead Dune Walk-Over Sign
Description of Work (Include # of Fixtures, Outlets, Units, Appliance, Etc. for Trade Work)
Contractor Information
General Contractor:
License #/Class:
License Expiration Date:
License Limitation:
Electrical Contractor:
License #:
Plumbing Contractor:
License #:
Mechanical Contractor:
License #:
Gas Contractor:
License #:
Non-licensed Contractor:
Trade Work (Not Associated w/ Other Development)
Plumbing $
Electrical $
Mechanical $
Gas $
Elevator $
Other $
Building Areas (sq. ft. / #)
Existing
Proposed
Total
Existing
Proposed
Total
Primary Structure
Heated
Accessory
Structure Heated
Primary Structure
Unheated
Accessory
Structure Unheated
# Bedrooms
# Bathrooms
Planning and Development Department
5401 S. Croatan Highway
PO Box 99
Nags Head, NC 27959
252-441-7016 : www.nagsheadnc.gov
Town of Nags Head Development Permit Application Page 2
Floodplain Development Information (If Applicable)
Flood Zone:
VE AE AO X
BFE:
RFE:
Vertical
Datum:
Horizontal
Datum:
Enclosed Area Below BFE?
Yes No If Yes, sq. ft.______
Proposed #
Flood Vents:
Net Free Area
Per Flood Vent:
sq. in.
Value of
Structure:
$
Zoning Information (If Applicable)
Permeable
(sq. ft. x 0.67)
Non-Permeable
Total
Lot Area:
Existing Lot
Coverage:
Allowable Lot
Coverage*:
Proposed Lot
Coverage:
Existing
Parking Spaces:
Proposed
Parking Spaces:
Driveway Width
at Property Line:
Shared Driveway?
Yes No
Setbacks
Front:
Side:
Corner:
Rear:
Height:
Roof
Pitch:
:12
Fence
Height:
Front:
Rear:
Completed Residential Design Guidelines Point Tabulation Form (If Applicable)
Applicants for the construction of a Large Residential Dwelling (3,500 SF or > of enclosed habitable living area) should
indicate whether they elect to follow the Town of Nags Head Residential Design Guidelines per Town Code Section
48-370 (d). This excludes properties located within The Village at Nags Head or in the SED-80 zoning district.
I, __________________________________, owner of the property at the address listed on this form,
elect / do not elect (circle one) to follow the Town of Nags Head Residential Design Guidelines for the construction
of a large residential dwelling per Town Code Section 48-370 (d).
☐ Architectural Point
Tabulation
Total Points Required:
Total Points Calculated:
☐ Landscape Plan – to be turned in prior to framing inspection
Erosion and Sedimentation Control (If Applicable)
Area of
Disturbance:
Sediment Control Plan Yes
No
Financial Responsibility Form Yes
No
Lot Fill (If Applicable)
Surveys should include pre-disturbance elevation points at the corners of each proposed site element. Where fill is proposed,
please complete the information below. See diagram for minimum required survey information for site development plans.
Site Elements
Current Elevation (lowest corner)
Proposed Elevation
House:
Pool:
Driveway:
Parking:
Other:______________
Stormwater Management (If Applicable)
☐Non-Engineered Plan
Must retain 15 cu/f.t volume per 100 ft. BUA
☐Engineered Plan
3% increase in lot coverage;
Must retain 3.5” rainfall event
☐N/A
CAMA Permit #:
DCHD Wastewater Permit #:
See Permit Submittal Checklist for required attachments and application information.
Application will not be accepted until all required information is provided.
Please contact the Planning and Development Department to confirm requirements for your particular project.
Property Owner Signature
_________________________________________
Applicant Signature
_________________________________________
The owner hereby authorizes the applicant and/or contractor listed on this form to act on his/her behalf to obtain a
permit and complete project activities as described herein.
Staff Use:
click to sign
signature
click to edit
click to sign
signature
click to edit
Town of Nags Head Development Permit Application Page 2
Review Fees Paid $ Acceptance: Y N By:
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Development Permit Application (The Town of Nags Head)

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Completed 4 August 2020

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